Before starting manual treatment, it is essential to evaluate absolutely undesirable situations. Along with many systemic diseases, many local problems constitute situations that should not be done. Manual therapy methods can only be learned with long-term practice under the supervision of an experienced specialist. Attempts by those who do not have sufficient experience to perform manual therapy may result in irreversible problems. Cancers, systemic bone diseases, bleeding disorders, fractures and diseases that progress with progressive loss of strength constitute important groups that should not be performed.
The application cannot be performed on completely frozen joints, nor can it be performed in cases where there is excessive looseness in the joints. It is unsafe to do it in the presence of tears, sprains, congenital disabilities, joint pain caused by inflammatory rheumatism and severe osteoporosis. Physical therapy and rehabilitation specialist physicians, neurology and orthopedic specialists are the best people to decide on manual therapy applications, as they are experts in the evaluation of the musculoskeletal system.
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